Evidence lacking on effectiveness of life skills programmes for chronic mental illness

Clinical question: 
How effective are life skills programmes for people with chronic mental health problems?
Bottom line: 
Currently there is no good evidence to suggest that compared with standard/ usual care or support groups, life skills programmes improve the well being of people with schizophrenia/schizoaffective disorder, or conversely that they are ineffective. Outcomes evaluated included study retention, life skills performance, symptom reduction, depression scores, quality of life scores and social performance skills.
Caveat: 
Only 4 studies were included in the review, involving just 318 participants. The studies lasted only 7 to 24 weeks, with most studies being too small to adequately detect potential benefits from life skills programmes.
Context: 
Most people with schizophrenia have a cyclical pattern of illness, characterised by remissions and relapses.This can reduce the ability of self-care and functioning, and can lead to the illness becoming chronic and disabling. Life skills programmes are designed to help during the rehabilitation process by enhancing patients' ability to live independently. The elements of such programmes include training in managing money, organising and running a home, domestic skills and personal self-care and related interpersonal skills.
Review CD#: 
CD000381
PEARLS No: 
115
Date: 
October, 2008
Authored by: 
Brian R McAvoy